Biogen Copay Program: Qalsody

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About

The Biogen Copay Program: Qalsody offers essential financial support for eligible patients prescribed Qalsody. With a focus on patients who have commercial or private insurance, the Biogen Copay Program: Qalsody provides coverage for specific administration billing codes associated with anesthesia, imaging procedures, or surgical processes. This program uniquely benefits patients, excluding those from Massachusetts, Minnesota, or Rhode Island for administration assistance, ensuring they receive the necessary medication without financial burdens. However, it is not applicable for cash-paying or publicly insured patients.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may be able to receive financial assistance with their medication and medication administration costs

•Administration Copay Program will cover only specific, approved billing codes that relate to anesthesia, imaging procedures, and/or surgical procedure or drug administration. The program does not cover lab work, observation, surgical supplies, facility/room costs, or other miscellaneous costs that may be associated with the administration of Qalsody

•Residents of Massachusetts, Minnesota, or Rhode Island are not eligible for the Administration Copay program

•HCP should fax completed start form to 8885389781 or email: StartForm@Biogen.com

•For assistance or additional information, call 8777257639, MondayFriday from 8:30 AM to 8 PM ET

Enrollment Forms

Enrollment Form

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